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Contact Information

KENNETH K CHAN, MD
2160 S. FIRST AVENUE
LOYOLA OUTPATIENT CENTER, 4300
MAYWOOD, IL60153
 Phone: 708-216-6006
 Fax: 708-216-2683
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KENNETH K CHAN · (Male)

NPI Number 1124446117
Status Active
Credentials MD
Entity Individual
Enumeration date 04/07/2014
Last updated 09/26/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 125065913
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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